Pachyderma

Pachyderma, caused by laryngitis sicca: Series of 3 photos

Pachyderma (1 of 3)
Pachyderma, here referring to the heaped up mucosa in the interarytenoid area, in a patient with laryngitis sicca.

Pachyderma (2 of 3)
Adducted (voicing) position. Note that the pachyderma does not interfere with closure of the cords. In this case, the pachyderma does not directly affect the patient’s voice, which is typical, but the more generalized inflammatory condition (see the redness of the cords) does.

Pachyderma (3 of 3)
Narrow-band lighting. This shows some stippled vascular markings, often seen with chronic inflammation or HPV infection.

Elephant skin: Series of 1 photo

Elephant skin (1 of 1)
The namesake of this phenomenon of rough or thick mucosa: elephant skin!